Manchester Repair as A Uterine Preservation Surgery

Uterine preservation surgery in uterovaginal prolapse is beginning to be relooked at more vigorously now. The need for uterine preservation surgery is for the reasons of desire for future fertility, maintaining sexual function and sense of identity for the woman. Incontinence and pelvic organ prolapse (POP) have an impact on sexuality. Observational prospective longitudinal cohort study to evaluate the impact of uterus preservation after POP repair on sexual function demonstrated that POP plays a role in female sexual dysfunction and uterus sparing surgery is associated with a greater improvement in sexual function [1]. However, the uterine conserving surgery does have its contraindications such as history of current or recent cervical dysplasia, abnormal menstrual bleeding, postmenopausal bleeding and other endometrial pathology. In these cases, therefore conservation of the uterus would not be advocated.